Journal of Indian Society of Periodontology
Journal of Indian Society of Periodontology
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REVIEW ARTICLE
Year : 2009  |  Volume : 13  |  Issue : 3  |  Page : 121-125

Is anti-platelet therapy interruption a real clinical issue? Its implications in dentistry and particularly in periodontics


1 Professor, Department of Periodontics, Sri Sai College of Dental Surgery, Vikarabad, Andhra Pradesh, India
2 Post Graduate Student, Department of Periodontics, Sri Sai College of Dental Surgery, Vikarabad, Andhra Pradesh, India

Correspondence Address:
A Jaya Kumar
Dean of PG Studies, Sri Sai College of Dental Surgery, Opposite Shiv Sagar, Vikarabad - 501 101, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-124X.60223

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The use of anti-platelet therapy has reduced the mortality and morbidity of cardiovascular disease remarkably. A considerable number of patients presenting before a dentist or periodontist give a history of anti-platelet therapy. A clinical dilemma whether to discontinue the anti-platelet therapy or continue the same always confronts the practitioner. Diverse opinions exist regarding the management of such patients. While one group of researchers advise continuation of anti-platelet therapy rather than invite remote, but possible, thromboembolic events, another group encourages discontinuation for variable periods. This study aims at reviewing the current rationale of anti-platelet therapy and the various options available to a clinician, with regard to the management of a patient under anti-platelet therapy. Current recommendations and consensus favour no discontinuation of anti-platelet therapy. This recommendation, however, comes with a rider to use caution and consider other mitigating factors as well. With a large number of patients giving a history of anti-platelet therapy, the topic is of interest and helps a clinician to arrive at a decision.


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